245
Views
13
CrossRef citations to date
0
Altmetric
Review

Novel Experimental Drugs for Treatment of Multiple Myeloma

ORCID Icon, , &
Pages 245-264 | Published online: 09 Mar 2021

References

  • National Cancer Institute. Cancer stat facts: myeloma. Available from: https://seer.cancer.gov/statfacts/html/mulmy.html. Accessed Dec 01, 2020.
  • Anderson KC. Progress and paradigms in multiple myeloma. Clin Cancer Res. 2016;22:5419–5427. doi:10.1158/1078-0432.CCR-16-0625
  • Kumar SK, Rajkumar SV, Dispenzieri A, et al. Improved survival in multiple myeloma and the impact of novel therapies. Blood. 2008;111:2516–2520. doi:10.1182/blood-2007-10-116129
  • Kumar SK, Dispenzieri A, Lacy MQ, et al. Continued improvement in survival in multiple myeloma: changes in early mortality and outcomes in older patients. Leukemia. 2014;28:1122–1128. doi:10.1038/leu.2013.313
  • Kronke J, Udeshi ND, Narla A, et al. Lenalidomide causes selective degradation of IKZF1 and IKZF3 in multiple myeloma cells. Science. 2014;343:301–305. doi:10.1126/science.1244851
  • Davies F, Baz R. Lenalidomide mode of action: linking bench and clinical findings. Blood Rev. 2010;24(Suppl 1):S13–S19. doi:10.1016/S0268-960X(10)70004-7
  • Chauhan D, Hideshima T, Mitsiades C, et al. Proteasome inhibitor therapy in multiple myeloma. Mol Cancer Ther. 2005;4:686–692. doi:10.1158/1535-7163.MCT-04-0338
  • Hideshima T, Mitsiades C, Akiyama M, et al. Molecular mechanisms mediating antimyeloma activity of proteasome inhibitor PS-341. Blood. 2003;101:1530–1534. doi:10.1182/blood-2002-08-2543
  • Ito S. Proteasome inhibitors for the treatment of multiple myeloma. Cancers. 2020;12:265. doi:10.3390/cancers12020265
  • Moreau P, San Miguel J, Sonneveld P, et al. Multiple myeloma: ESMO clinical practice guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2017;28(Suppl. 4):iv52–iv61. doi:10.1093/annonc/mdx096
  • Mikhael J, Ismaila N, Cheung MC, et al. Treatment of multiple myeloma: ASCO and CCO joint clinical practice guidelines. J Clin Oncol. 2019;37:1228–1263. doi:10.1200/JCO.18.02096
  • Nandakumar B, Kapoor P, Binder M, et al. Continued improvement in survival of patients with newly diagnosed multipole myeloma. Blood. 2020;136(Suppl. 1):abstract 2280. doi:10.1182/blood-2020-140388
  • Kumar SK, Dimopoulos MA, Kastritis E, et al. Natural history of relapsed myeloma, refractory to immunomodulatory drugs and proteasome inhibitors: a multicenter IMWG study. Leukemia. 2017;31:2443–2448. doi:10.1038/leu.2017.138
  • Coiffier B, Thieblemont C, Van Den Neste E, et al. Long-term outcome of patients in the LNH-98.5 trial, the first randomized study comparing rituximab-CHOP to standard CHOP chemotherapy in DLBCL patients: a study by the Groupe d’Etudes des Lymphomes de l’Adulte. Blood. 2010;116:2040–2045. doi:10.1182/blood-2010-03-276246
  • Connors JM, Jurczak W, Strauss DJ, et al. Brentuximab vedotin with chemotherapy for stage III or IV Hodgkin’s lymphoma. N Engl J Med. 2018;378:331–344. doi:10.1056/NEJMoa1708984
  • Offidani M, Corvatta L. A review discussing elotuzumab and its use in the second-line plus treatment of multiple myeloma. Future Oncol. 2018;14:319–329. doi:10.2217/fon-2017-0371
  • Lonial S, Dimopoulos MA, Palumbo A, et al. Elotuzumab therapy for relapsed or refractory multiple myeloma. N Engl J Med. 2015;373:621–631. doi:10.1056/NEJMoa1505654
  • Dimopoulos MA, Dytfeld D, Grosicki S, et al. Elotuzumab plus pomalidomide and dexamethasone for multiple myeloma. N Engl J Med. 2018;379:1811–1822. doi:10.1056/NEJMoa1805762
  • Dimopoulos MA, Lonial S, Betts KA, et al. Elotuzumab plus lenalidomide and dexamethasone in relapsed/refractory multiple myeloma: extended 4-year follow-up and analysis of relative progression-free survival from the randomized ELOQUENT-2 trial. Cancer. 2018;124:4032–4043. doi:10.1002/cncr.31680
  • Dimopoulos MA, Lonial S, White D, et al. Elotuzumab, lenalidomide and dexamethasone in RRMM: final overall survival results from the Phase 3 randomized ELOQUENT-2 study. Blood Cancer J. 2020;10:91. doi:10.1038/s41408-020-00357-4
  • Bristol-Myers Squibb. Bristol-Myers Squibb reports primary results of ELOQUENT-1 study evaluating Empliciti (elotuzumab) plus Revlimid (lenalidomide) and dexamethasone in patients with newly diagnosed, untreated multiple myeloma. Available from: https://news.bms.com/news/corporate-financial/2020/Bristol-Myers-Squibb-Reports-Primary-Results-of-ELOQUENT-1-Study-Evaluating-Empliciti-elotuzumab-Plus-Revlimid-lenalidomide-and-Dexamethasone-in-Patients-with-Newly-Diagnosed-Untreated-Multiple-Myeloma/default.aspx. Accessed Dec 01, 2020.
  • Goldschmidt H, Mai EK, Salwender HJ, et al. Bortezomib, lenalidomide and dexamethasone with or without elotuzumab as induction therapy for newly diagnosed, transplant-eligible multiple myeloma. Hemasphere. 2020;4(S1):abstract S 203.
  • Lokhorst HM, Plesner T, Laubach JP, et al. Targeting CD38 with daratumumab monotherapy in multiple myeloma. New Engl J Med. 2015;373:1207–1219. doi:10.1056/NEJMoa1506348
  • Lonial S, Weiss BM, Usmani SZ, et al. Daratumumab monotherapy in patients with treatment-refractory multiple myeloma (SIRIUS): an open-label, randomised, phase 2 trial. Lancet. 2016;387:1551–1560. doi:10.1016/S0140-6736(15)01120-4
  • Nooka AK, Kaufman JL, Hofmeister CC, et al. Daratumumab in multiple myeloma. Cancer. 2019;125:2364–2382. doi:10.1002/cncr.32065
  • Dimopoulos MA, Oriol A, Nahi H, et al. Daratumumab, lenalidomide, and dexamethasone for multiple myeloma. New Engl J Med. 2016;375:1319–1331. doi:10.1056/NEJMoa1607751
  • Palumbo A, Chanan-Khan A, Weisel K, et al. Daratumumab, bortezomib, and dexamethasone for multiple myeloma. New Engl J Med. 2016;375:754–766. doi:10.1056/NEJMoa1606038
  • Dimopoulos MA, Terpos E, Boccadoro M, et al. Apollo: phase 3 randomized study of subcutaneous daratumumab plus pomalidomide and dexamethasone (D-Pd) versus pomalidomide and dexamethasone (Pd) alone in patients with relapsed/refractory multiple myeloma. Blood. 2020;136(Suppl 1):abstract 412. doi:10.1182/blood-2020-135874
  • Dimopoulos MA, Quach H, Mateos M-V, et al. Carfilzomib, dexamethasone and daratumumab versus carfilzomib and dexamethasone in relapsed or refractory multiple myeloma: updated efficacy and safety results of the phase 3 Candor study. Blood. 2020;136(Suppl 1):abstract 2325. doi:10.1182/blood-2020-137602
  • Moreau P, Attal M, Hulin C, et al. Bortezomib, thalidomide, and dexamethasone with or without daratumumab before and after autologous stem-cell transplantation for newly diagnosed multiple myeloma (CASSIOPEIA): a randomised, open-label, phase 3 study. Lancet. 2019;394:29–38. doi:10.1016/S0140-6736(19)31240-1
  • Voorhees PM, Kaufman JL, Laubach J, et al. Daratumumab, lenalidomide, bortezomib, and dexamethasone for transplant-eligible newly diagnosed multiple myeloma: the GRIFFIN trial. Blood. 2020;136:936–945. doi:10.1182/blood.2020005288
  • Mateos MV, Dimopoulos MA, Cavo M, et al. Daratumumab plus bortezomib, melphalan, and prednisone for untreated myeloma. N Engl J Med. 2018;378:518–528. doi:10.1056/NEJMoa1714678
  • Kumar SK, Facon T, Usmani SZ, et al. Updated analysis of daratumumab plus lenalidomide and dexamethasone (D-Rd) versus lenalidomide and dexamethasone (Rd) in patients with transplant-ineligible newly diagnosed multiple myeloma: the phase 3 Maia study. Blood. 2020;136(Suppl 1):abstract 2276. doi:10.1182/blood-2020-134847
  • Mateos MV, Nahi H, Legiec W, et al. Subcutaneous versus intravenous daratumumab in patients with relapsed or refractory multiple myeloma (COLUMBA): a multicentre, open-label, non-inferiority, randomised, phase 3 trial. Lancet Haematol. 2020;7:e370–e380. doi:10.1016/S2352-3026(20)30070-3
  • Chari A, Rodriguez-Otero P, McCarthy H, et al. Subcutaneous daratumumab plus standard treatment regimens in patients with multiple myeloma across lines of therapy (PLEIADES): and open-label Phase II study. Br J Haematol. 2020
  • Van de Domnk NW, Usmani SZ. CD38 antibodies in multiple myeloma: mechanisms of action and modes of resistance. Front Immunol. 2018;9:2134. doi:10.3389/fimmu.2018.02134
  • Van Bueren JL, Jakobs D, Kaldenhoven N, et al. Direct in vitro comparison of daratumumab with surrogate analogs of CD38 antibodies MOR03087, SAR650884 and Ab79. Blood. 2014;124(21):abstract 3474. doi:10.1182/blood.V124.21.3474.3474
  • Feng X, Zhang L, Acharya C, et al. Targeting CD38 suppresses induction and function of T regulatory cells to mitigate immunosuppression in multiple myeloma. Clin Cancer Res. 2017;23:4290–4300. doi:10.1158/1078-0432.CCR-16-3192
  • Martin TG, Corzo K, Chiron M, et al. Therapeutic opportunities with pharmacological inhibition of CD38 with isatuximab. Cells. 2019;8:1522. doi:10.3390/cells8121522
  • Attal M, Richardson PG, Rajkumar SV, et al. Isatuximab plus pomalidomide and low-dose dexamethasone versus pomalidomide and low-dose dexamethasone in patients with relapsed and refractory multiple myeloma (ICARIA-MM): a randomised, multicentre, open-label, phase 3 study. Lancet. 2019;394:2096–2107. doi:10.1016/S0140-6736(19)32556-5
  • Schjesvold F, Bringhen S, Richardson PG, et al. Isatuximab plus pomalidomide and dexamethasone in frail patients with relapsed/refractory multiple myeloma: icaria-MM subgroup analysis. Blood. 2020;136(Suppl 1):abstract 1411.
  • Moreau P, Dimopoulos MA, Mikhael J, et al. Isatuximab plus carfilzomib and dexamethasone vs carfilzomib and dexamethasone in relapsed/ refractory multiple myeloma (IKEMA): interim analysis of a phase 3, randomized, open-label study. Blood. 2020;136(Suppl 1):abstract 2316. doi:10.1182/blood.2020008150
  • Martin T, Mikhael J, Hajek R, et al. Depth of response and response kinetics of isatuximab plus carfilzomib and dexamethasone in relapsed/refractory multiple myeloma: IKEMA interim analysis. Blood. 2020;136(Suppl 1):abstract 414. doi:10.1182/blood-2020-137681
  • Weisel KC, Asemissen AM, Besemer B, et al. Depth of response to isatuximab, carfilzomib, lenalidomide and dexamethasone (Isa-KRd) in front-line treatment of high-risk multiple myeloma: interim analysis of the GMMG-CONCEPT trial. J Clin Oncol. 2020;38(Suppl.):abstract 8505. doi:10.1200/JCO.2020.38.15_suppl.8508
  • Ocio EM, Bringhen S, Oliva S, et al. Updates from a phase Ib study of isatuximab, bortezomib, and dexamethasone plus cyclophosphamide or lenalidomide in transplant ineligible newly diagnosed multiple myeloma. Blood. 2020;136(Suppl 1):abstract 2288. doi:10.1182/blood-2020-136569
  • Raab MS, Engelhardt M, Blank A, et al. MOR202, a novel anti-CD38 monoclonal antibody, in patients with relapsed or refractory multiple myeloma: a first-in-human, multicenter, phase 1-2a trial. Lancet Hematol. 2020;7:e381–394. doi:10.1016/S2352-3026(19)30249-2
  • Ghobrial IM, Liu C-J, Redd R, et al. A phase Ib/II trial of the first-in-class anti-CXCR4 antibody ulocuplumab in combination with lenalidomide or bortezomib plus dexamethasone in relapsed multiple myeloma. Clin Cancer Res. 2020;26:344–353. doi:10.1158/1078-0432.CCR-19-0647
  • Franssen LE, Stege CAM, Zweegman S, et al. Resistance mechanisms towards CD38-directed antibody therapy in multiple myeloma. J Clin Med. 2020;9:1195. doi:10.3390/jcm9041195
  • Paul B, Symanowski J, Osipoff P, et al. A phase 2 trial of daratumumab and pembrolizumab in refractory multiple myeloma. Blood. 2020;136(Suppl 1):abstract 1399. doi:10.1182/blood-2020-141623
  • Kambhampati S, Wong SW, Martin T, et al. Phase II study of daratumumab in combination with azacitidine and dexamethasone in relapsed/refractory multiple myeloma previously treated with daratumumab: darazadex. Blood. 2020;136(Suppl 1):abstract 2326. doi:10.1182/blood-2020-138869
  • Perez De Acha O, Idler BI, Walker ZJ, et al. Myeloma drug sensitivity testing to optimize retreatment with anti-CD38 monoclonal antibodies in daratumumab-refractory patients. Blood. 2020;136(Suppl 1):abstract 1387. doi:10.1182/blood-2020-137819
  • Gandhi UH, Cornell RF, Lakshman A, et al. Outcomes of patients with multiple myeloma refractory to CD38-targeted monoclonal antibody therapy. Leukemia. 2019;33:2266–2275. doi:10.1038/s41375-019-0435-7
  • Dalla Palma B, Marchica V, Catarozzo MT, Giuliani N, Accardi F. Monoclonal and bispecific anti-BCMA antibodies in multiple myeloma. J Clin Med. 2020;9:3022. doi:10.3390/jcm9093022
  • Tai Y-T, Li XF, Breitkreutz I, et al. Role of B-cell–activating factor in adhesion and growth of human multiple myeloma cells in the bone marrow microenvironment. Cancer Res. 2006;66:6675–6682. doi:10.1158/0008-5472.CAN-06-0190
  • Moreaux J, Legou E, Jourdan E, et al. BAFF and APRIL protect myeloma cells from apoptosis induced by interleukin 6 deprivation and dexamethasone. Blood. 2004;103:3148–3157. doi:10.1182/blood-2003-06-1984
  • Lancman G, Richter J, Chari A. Bispecific, trispecific, and other novel immune treatments in myeloma. Hematology. 2020;2020:264–271. doi:10.1182/hematology.2020000110
  • Topp MS, Duell J, Zugmaier G, et al. Anti-B-cell maturation antigen BiTE molecule AMG 420 induces responses in multiple myeloma. J Clin Oncol. 2020;38:775–778. doi:10.1200/JCO.19.02657
  • Harrison JS, Minnema MC, Lee HC, et al. A phase 1 first in Human (FIH) study of AMG 701, an anti-B-Cell maturation antigen (BCMA) half-life extended (HLE) BiTE® (bispecific T-cell engager) molecule, in relapsed/refractory (RR) multiple myeloma (MM). Blood. 2020;136(Suppl 1):abstract 181. doi:10.1182/blood-2020-134063
  • Usmani SZ, Mateos M-V, Nahi H, et al. Phase I study of teclistamab, a humanized B-cell maturation antigen (BCMA) x CD3 bispecific antibody, in relapsed/ refractory multiple myeloma (R/R MM). J Clin Oncol. 2020;38(Suppl.):abstract 100. doi:10.1200/JCO.2020.38.15_suppl.100
  • Garfall AL, Usmani SZ, Mateos M-V, et al. Updated phase 1 results of teclistamab, a B-Cell Maturation Antigen (BCMA) x CD3 bispecific antibody, in relapsed and/or refractory multiple myeloma (RRMM). Blood. 2020;136(Suppl 1):abstract 27. doi:10.1182/blood-2020-138831
  • Costa LJ, Wong SW, Bermudez A, et al. First clinical study of the B-Cell Maturation Antigen (BCMA) 2+1 cell engager CC-93269 in patients with relapsed/refractory multiple myeloma: interim results of a phase 1 multicenter trial. Blood. 2019;134(Suppl. 1):abstract 143. doi:10.1182/blood-2019-122895
  • Atamaniuk J, Gleiss A, Porpaczy E, et al. Overexpression of G protein coupled receptor 5D in the bone marrow is associated with poor prognosis in patients with multiple myeloma. Eur J Clin Invest. 2012;42:953–960. doi:10.1111/j.1365-2362.2012.02679.x
  • Chari A, Berdeja JG, Oriol A, et al. A phase 1, first-in-human study of Talquetamab, a G Protein-Coupled Receptor Family C Group 5 Member D (GPRC5D) x CD3 bispecific antibody, in patients with relapsed and/or refractory multiple myeloma (RRMM). Blood. 2020;136(Suppl 1):abstract 290. doi:10.1182/blood-2020-133873
  • Cohen AD, Harrison SJ, Krishnan A, et al. Initial clinical activity and safety of BFCR4350A, a FcRH5/CD3 T-Cell-Engaging bispecific antibody, in relapsed/ refractory multiple myeloma. Blood. 2020;136(Suppl 1):abstract 292. doi:10.1182/blood-2020-136985
  • Sheikh S, Lebel E, Trudel S. Belantamab mafodotin in the treatment of relapsed or refractory multiple myeloma. Fut Oncol. 2020;16:2783–2798. doi:10.2217/fon-2020-0521
  • Trudel S, Lendvai N, Popat R, et al. Antibody–drug conjugate, GSK2857916, in relapsed/refractory multiple myeloma: an update on safety and efficacy from dose expansion phase I study. Blood Cancer J. 2019;9:37. doi:10.1038/s41408-019-0196-6
  • Lonial S, Lee HC, Badros A, et al. Belantamab mafodotin for relapsed or refractory multiple myeloma (DREAMM-2): a two-arm, randomised, open-label, phase 2 study. Lancet Oncol. 2020;21:207–221. doi:10.1016/S1470-2045(19)30788-0
  • Lonial S, Nooka A, Thulasi P, et al. Recovery of ocular events with longer-term follow-up in the DREAMMM-2 Study of single-agent belantamab mafodotin (Belamaf) in patients with relapsed or refractory multiple myeloma (RRMM). Blood. 2020;136(Suppl. 1):abstract 3224. doi:10.1182/blood-2020-140078
  • Popat R, Lonial S, Voorhees PM, et al. DREAMM-2: single-agent belantamab mafodotin (Belamaf) effects on patient-reported outcome (PRO) measures in patients with relapsed/refractory multiple myeloma (RRMM). Blood. 2020;136(Suppl. 1):abstract 2278.
  • Nooka A, Lee HC, Badros AZ, et al. Infusion-related reactions (IRRs) in the DREAMM-2 study of single-agent belantamab mafodotin (Belamaf) in patients with relapsed/refractory multiple myeloma (RRMM). Blood. 2020;(Suppl. 1):abstract 3221.
  • Trudel S, McCurdy A, Sutherland HJ, et al. Part 1 results of a dose finding study of belantamab mafodotin (GSK2857916) in combination with pomalidomide and dexamethasone for the treatment of relapsed/refractory multiple myeloma. Blood. 2020;(Suppl. 1):abstract 725.
  • Sadelain M, Brentjens R, Riviere I. The basic principles of chimeric antigen receptor design. Cancer Discov. 2013;3:338–398. doi:10.1158/2159-8290.CD-12-0548
  • Guedan S, Calderon H, Posey AD, Maus MV. Engineering and design of chimeric antigen receptors. Mol Ther Methods Clin Dev. 2018;12:145–156. doi:10.1016/j.omtm.2018.12.009
  • Mikkilinemi L, Kochenderfer JN. Chimeric antigen receptor T-cell therapies for multiple myeloma. Blood. 2017;130:2594–2602. doi:10.1182/blood-2017-06-793869
  • Levine BL, Miskin J, Wonnacott K, Keir C. Global manufacturing of CAR T cell therapy. Mol Ther Methods Clin Dev. 2016;4:92–101. doi:10.1016/j.omtm.2016.12.006
  • Sha UA, Mailankody S. Emerging immunotherapies in multiple myeloma. BMJ. 2020;370:m3176. doi:10.1136/bmj.m3176
  • Raje N, Berdeja J, Lin Y, et al. Anti-BCMA CAR T-cell therapy bb2121 in relapsed or refractory multiple myeloma. N Engl J Med. 2019;380:1726–1737. doi:10.1056/NEJMoa1817226
  • Lin Y, Raje NS, Berdeja JG, et al. Idecabtagene vicleucel (ide-cel, bb2121), a BCMA-directed CAR T cell therapy, in patients with relapsed and refractory multiple myeloma: updated results from phase 1 CRB-401 study. Blood. 2020;(Suppl. 1):abstract 131. doi:10.1182/blood.2020006245
  • Munshi NC, Anderson LD, Shah N, et al. Idecabtagene vicleucel (ide-cel, bb2121), a BCMA-targeted CAR T cell therapy, in patients with relapsed and refractory multiple myeloma: initial KarMMa results. J Clin Oncol. 2020;38(Suppl.):abstract 8503. doi:10.1200/JCO.2020.38.15_suppl.8503
  • Berdeja J, Raje NS, Siegel DS, et al. Efficacy and safety of idecabtagene vicleucel (ide-cel, bb2121) in elderly patients with relapsed and refractory multiple myeloma: karMMa subgroup analysis. Blood. 2020;(Suppl. 1):abstract 1367. doi:10.1182/blood.2020007522
  • Wang B-Y, Zhao W-H, Liu J, et al. Long-term follow-up of a phase 1, first-in-human open-label study of LCAR-B38M, a structurally differentiated chimeric antigen receptor T (CAR-T) cell therapy targeting B-Cell maturation antigen (BCMA) in patients with relapsed/refractory multiple myeloma. Blood. 2019;134(Suppl. 1):abstract 579. doi:10.1182/blood-2019-124953
  • Berdeja JG, Madduri D, Usmani SZ, et al. Update of CARTITUDE-1: a phase 1b/2 study of JNJ-4528, a B-cell maturation antigen (BCMA)-directed ccAR-T cell therapy, in relapsed/ refractory multiple myeloma. J Clin Oncol. 2020;38(Suppl.):abstract 8505. doi:10.1200/JCO.2020.38.15_suppl.8505
  • Madduri D, Berdeja JG, Usmani SZ, et al. CARTITUDE-1: phase 1b/2 study of ciltacabtagene autoleucel, a B-cell maturation antigen-directed chimeric antigen receptor T cell therapy, in relapsed/ refractory multiple myeloma. Blood. 2020;(Suppl. 1):abstract 177.
  • Mailankody S, Jakuboviak A, Htut M, et al. Orvacabtagene autoleucel (orva-cel), a B-cell maturation antigen (BCMA)-directed CAR T cell therapy for patients with relapsed/refractory multiple myeloma: update of the phase 1/2 EVOLVE study (NCT03430011). J Clin Oncol. 2020;38(Suppl.):abstract 8504. doi:10.1200/JCO.2020.38.15_suppl.8504
  • Alsina M, Shah N, Raje NS, et al. Updated results from the phase I CRB-402 study of anti-BCMA CAR-T cell therapy bb21217 in patients with relapsed and refractory multiple myeloma: correlation of expansion and duration of response with T cell phenotypes. Blood. 2020;136(Suppl. 1):abstract 130. doi:10.1182/blood-2020-140410
  • Hao S, Jin J, Jiang S, et al. Two-years follow-up of investigator-initiated phase 1 trials of the safety and efficacy of fully human anti-bcma CAR T cells (CT053) in relapsed/ refractory multiple myeloma. Blood. 2020;136(Suppl. 1):abstract 132. doi:10.1182/blood-2020-140156
  • Kumar SK, Baz RC, Orlowski RZ, et al. Results from Lummicar-2: a phase 1b/2 study of fully human B-cell maturation antigen-specific CAR T cells (CT053) in patients with relapsed and/or refractory multiple myeloma. Blood. 2020;136(Suppl. 1):abstract 133. doi:10.1182/blood-2020-139802
  • Costello VCL, Cohen AD, Patel KK, et al. Phase 1/2 study of the safety and response of P-BCMA-101 CAR-T cells in patients with relapsed/refractory multiple myeloma (PRIME) with novel therapeutic strategies. Blood. 2020;136(Suppl. 1):abstract 134.
  • Jiang H, Dong B, Gao L, et al. Clinical results of a multicenter study of the first-in-human dual BCMA and CD19 targeted novel platform fast CAR-T cell therapy for patients with relapsed/refractory multiple myeloma. Blood. 2020;136(Suppl. 1):abstract 178. doi:10.1182/blood-2020-138614
  • Mailankody S, Matous JV, Liedtke M, et al. Universal: an allogeneic first-in-human study of the anti-BCMA ALLO-715 and the anti-CD52 ALLO-647 in relapsed/ refractory multiple myeloma. Blood. 2020;136(Suppl. 1):abstract 129. doi:10.1182/blood-2020-140641
  • Hill R, Cautain B, De Pedro N, et al. Targeting nucleocytoplasmic transport in cancer therapy. Oncotarget. 2014;5:11–28. doi:10.18632/oncotarget.1457
  • Gravina GL, Senapedis W, McCauley D, et al. Nucleo-cytoplasmic transport as a therapeutic target of cancer. J Hematol Oncol. 2014;7:85. doi:10.1186/s13045-014-0085-1
  • Chari A, Vogl DT, Gavriatopoulou M, et al. Oral selinexor-dexamethasone for triple-class refractory multiple myeloma. N Engl J Med. 2019;381:727–738. doi:10.1056/NEJMoa1903455
  • Bahlis NJ, Sutherland H, White D, et al. Selinexor plus low-dose bortezomib and dexamethasone for patients with relapsed or refractory multiple myeloma. Blood. 2018;132:2546–2554. doi:10.1182/blood-2018-06-858852
  • Grosicki S, Simonova M, Spicka I, et al. Once-per-week selinexor, bortezomib, and dexamethasone versus twice-per-week bortezomib and dexamethasone in patients with multiple myeloma (BOSTON): a randomized, open-label, phase 3 trial. Lancet. 2020;396:1563–1573. doi:10.1016/S0140-6736(20)32292-3
  • Auner HW, Gavriatopoulou M, Delimpasi S, et al. Once weekly selinexor, bortezomib, and dexamethasone versus twice weekly bortezomib and dexamethasone in relapsed or refractory multiple myeloma: age and frailty subgroup analyses from the phase 3 Boston study. Blood. 2020;136(Suppl 1):abstract 3215.
  • Richard S, Chari A, Delimpasi S, et al. Once weekly selinexor, bortezomib, and dexamethasone versus twice weekly bortezomib and dexamethasone in relapsed or refractory multiple myeloma: high-risk cytogenetic risk planned subgroup analyses from the phase 3 Boston study. Blood. 2020;136(Suppl 1):abstract 1385. doi:10.1182/blood-2020-137154
  • Mateos M-V, Gavriatopoulou M, Facon T, et al. Effect of prior treatment with proteasome inhibitors on the efficacy and safety of once weekly selinexor, bortezomib, and dexamethasone in comparison with twice weekly bortezomib and dexamethasone in relapsed or refractory multiple myeloma: subgroup analysis from the Boston study. Blood. 2020;136(Suppl 1):abstract 2297.
  • Mateos M-V, Jagannath S, Delimpasi S, et al. Effect of prior therapies on the safety and efficacy of once weekly selinexor, bortezomib, and dexamethasone compared with twice weekly bortezomib and dexamethasone in relapsed or refractory multiple myeloma: subgroup analysis from the Boston study. Blood. 2020;136(Suppl 1):abstract 3245.
  • Gasparetto C, Lipe B, Tuchman SA, et al. Selinexor in combination with carfilzomib and dexamethasone, all once weekly (SKd), for patients with relapsed/refractory multiple myeloma. Blood. 2020;136(Suppl 1):abstract 1366. doi:10.1182/blood-2020-137183
  • Chen CI, Bahlis NJ, Gasparetto C, et al. Selinexor in combination with pomalidomide and dexamethasone (SPd) for treatment of patients with relapsed refractory multiple myeloma. Blood. 2020;136(Suppl 1):abstract 726. doi:10.1182/blood-2020-139858
  • Chauhan D, Ray A, Viktorsson K, et al. In vitro and in vivo antitumor activity of a novel alkylating agent, melphalan-flufenamide, against multiple myeloma cells. Clin Cancer Res. 2013;19:3019–3031. doi:10.1158/1078-0432.CCR-12-3752
  • Oriol A, Larocca A, Leleu X, et al. Melflufen for relapsed and refractory multiple myeloma. Expert Opin Investig Drugs. 2020;29:1069–1078. doi:10.1080/13543784.2020.1808884
  • Richardson P, Bringhen S, Voorhees P, et al. Melflufen plus dexamethasone in relapsed and refractory multiple myeloma (0-12-M1): a multicenter, international, open-label, phase 1-2 study. Lancet Hematol. 2020;7:e395–e407. doi:10.1016/S2352-3026(20)30044-2
  • Richardson PG, Oriol A, Larocca A, et al. HORIZON (OP-106): melflufen plus dexamethasone in relapsed/refractory multiple myeloma refractory to pomalidomide and/or anti-CD38 monoclonal antibody-primary and subgroup analysis. Hemasphere. 2020;4(S1):abstract EP 945.
  • Larocca A, Richardson PG, Oriol A, et al. HORIZON (OP-106): melflufen plus dexamethasone in patients with relapsed/refractory multiple myeloma-age subgroup analysis of elderly patients. Blood. 2020;136(Suppl 1):abstract 2293. doi:10.1182/blood-2020-136856
  • Mateos M-V, Oriol A, Larocca A, et al. HORIZON (OP-106): melflufen plus dexamethasone in patients with relapsed/refractory multiple myeloma with high-risk cytogenetics-subgroup analysis. Blood. 2020;136(Suppl 1):abstract 3237. doi:10.1182/blood-2020-136002
  • Richardson PG, Mateos M-V, Oriol A, et al. HORIZON (OP-106): melflufen plus dexamethasone in 55 patients with relapsed/refractory multiple myeloma with extramedullary disease (EMD)-subgroup analysis. Blood. 2020;136(Suppl 1):abstract 3214. doi:10.1182/blood-2020-137118
  • Rodriguez-Otero P, Mateos M-V, Oriol A, et al. HORIZON (OP-106): melflufen plus dexamethasone in patients with relapsed/refractory multiple myeloma exposed to prior alkylator therapy-subgroup analysis. Blood. 2020;136(Suppl 1):abstract 2321. doi:10.1182/blood-2020-136466
  • Ocio EM, Efebera YA, Hajek R, et al. ANCHOR (OP-104): melflufen plus dexamethasone and daratumumab or bortezomib in relapsed/refractory multiple myeloma refractory to an IMiD and/or a proteasome inhibitor-updated efficacy and safety. Blood. 2020;136(Suppl 1):abstract 417. doi:10.1182/blood-2020-135991
  • Bjorklund CC, Kang J, Amatangelo M, et al. Iberdomide (CC-220) is a potent cereblon E3 ligase modulator with antitumor and immunostimulatory activities in lenalidomide- and pomalidomide-resistant multiple myeloma cells with dysregulated CRBN. Leukemia. 2020;34:1197–1201. doi:10.1038/s41375-019-0620-8
  • Lonial S, Van de Donk N, Popat R, et al. A phase 1b/2a study of the CELMoD Iberdomide (CC-220) in combination with dexamethasone in patients with relapsed/refractory multiple myeloma. Clin Lymphoma Myeloma Leuk. 2019;19:abstract e52–e53. doi:10.1016/j.clml.2019.09.080
  • Van de Donk N, Popat R, Larsen J, et al. First results of iberdomide (IBER; CC-220) in combination with dexamethasone and daratumumab or bortezomib in patients with relapsed/refractory multiple myeloma. Blood. 2020;136(Suppl 1):abstract 724. doi:10.1182/blood-2020-137743
  • Hansen JD, Correa M, Nagy MA, et al. Discovery of CRBN E3 ligase modulator CC-92480 for the treatment of relapsed and refractory multiple myeloma. J Med Chem. 2020;63:6648–6676. doi:10.1021/acs.jmedchem.9b01928
  • Richardson PG, Vangsted AJ, Ramasamy K, et al. First-in-human phase 1 study of the novel CELMoD agent CC-92480 combined with dexamethasone in patients with relapsed/refractory multiple myeloma (RRMM). J Clin Oncol. 2020;38(Suppl.):abstract 8500. doi:10.1200/JCO.2020.38.15_suppl.8500
  • Imbruvica (Ibrutinib) capsules, for oral use (package insert). Sunnyvale, CA: Pharmacyclis LLC; 2019.
  • Tai YT, Chang BY, Kong SY, et al. Bruton tyrosine kinase inhibition is a novel therapeutic strategy targeting tumor in the bone marrow microenvironment in multiple myeloma. Blood. 2012;120:1877–1887. doi:10.1182/blood-2011-12-396853
  • Richardson PG, Bensinger WI, Huff CA, et al. Ibrutinib alone or with dexamethasone for relapsed or relapsed and refractory multiple myeloma: phase 2 trial results. Br J Haematol. 2018;180:821–830. doi:10.1111/bjh.15058
  • Chari A, Corbnell RF, Gasparetto C, et al. Final analysis of a phase 1/2b study of ibrutinib combined with carfilzomib/dexamethasone in patients with relapsed/refractory multiple myeloma. Hematol Oncol. 2020;38:353–362. doi:10.1002/hon.2723
  • Mateos M-V, Orlowski RZ, Ocio EM, et al. Pembrolizumab combined with lenalidomide and low-dose dexamethasone for relapsed or refractory multiple myeloma: phase I KEYNOTE-023 study. Br J Haematol. 2019;186:e117–e121. doi:10.1111/bjh.15946
  • Badros A, Hyjek E, Ma N, et al. Pembrolizumab, pomalidomide and low-dose dexamethasone for relapsed/refractory multiple myeloma. Blood. 2017;130:1189–1197. doi:10.1182/blood-2017-03-775122
  • Usmani SZ, Schjesvold F, Oriol A, et al. Pembrolizumab plus lenalidomide and dexamethasone for patients with treatment-naïve multiple myeloma (KEYNOTE-185): a randomized, open-label, phase 3 trial. Lancet Hematol. 2019;6:e448–e458. doi:10.1016/S2352-3026(19)30109-7
  • Mateos M-V, Blacklock H, Schjesvold F, et al. Pembrolizumab plus pomalidomide and dexamethasone for patients with relapsed or refractory multiple myeloma (KEYNOTE-183): a randomized, open-label, phase 3 trial. Lancet Hematol. 2019;6:e459–e469.
  • Neuse CJ, Lomas OC, Schliemann C, et al. Genome instability in multiple myeloma. Leukemia. 2020;34:2887–2897. doi:10.1038/s41375-020-0921-y
  • Walker BA, Boyle EM, Wardell CP, et al. Mutational spectrum, copy number changes, and outcome; results of a sequencing study of patients with newly diagnosed myeloma. J Clin Oncol. 2015;33:3911–3920. doi:10.1200/JCO.2014.59.1503
  • Raje N, Chau I, Hyman DM, et al. Vemurafenib in patients with relapsed refractory multiple myeloma harboring BRAFV600 mutations: a cohort of the histology-independent VE-BASKET Study. JCO Precis Oncol. 2019;3:PO.18.00266. doi:10.1200/PO.18.00266
  • Heuck CJ, Jethava Y, Khan R, et al. Inhibiting MEK in MAPK pathway-activated myeloma. Leukemia. 2016;30:976–980. doi:10.1038/leu.2015.208
  • Schjesvold F, Ribrag V, Rodriguez-Otero P, et al. Safety and preliminary efficacy results from a phase Ib/II study of cobimetinib as a single agent and in combination with venetoclax with or without atezolizumab in patients with relapsed/refractory multiple myeloma. Blood. 2020;136(Suppl 1):abstract 295. doi:10.1182/blood-2020-135845
  • Flynt E, Bisht K, Sridharan V, et al. Prognosis, biology, and targeting of TP53 dysregulation in multiple myeloma. Cells. 2020;9:287. doi:10.3390/cells9020287
  • Touzeau C, Dousset C, Le Gouill S, et al. The bcl-2 specific BH3 mimetic ABT-199: a promising targeted therapy for t(11;14) multiple myeloma. Leukemia. 2014;28:210–212. doi:10.1038/leu.2013.216
  • Touzeau C, Maciag P, Amiot M, Moreau P. Targeting bcl-2 for the treatment of multiple myeloma. Leukemia. 2018;32:1899–1907. doi:10.1038/s41375-018-0223-9
  • Kumar S, Kaufman JL, Gasparetto C, et al. Efficacy of venetoclax as targeted therapy for relapsed/refractory t(11;14) multiple myeloma. Blood. 2017;130:2401–2409. doi:10.1182/blood-2017-06-788786
  • Kaufman JL, Gasparetto C, Mikhael J, et al. Phase 1 study of venetoclax in combination with dexamethasone as targeted therapy for t(11;14) relapsed/refractory multiple myeloma. Blood. 2017;130:3131.
  • Moreau P, Chanan-Khan A, Roberts AW, et al. Promising efficacy and acceptable safety of venetoclax plus bortezomib and dexamethasone in relapsed/refractory MM. Blood. 2017;130:2392–2400. doi:10.1182/blood-2017-06-788323
  • Kumar SK, Harrison SJ, Cavo M, et al. Venetoclax or placebo in combination with bortezomib and dexamethasone in patients with relapsed or refractory multiple myeloma (BELLINI): a randomized, double-blind, multicenter, phase 3 trial. Lancet Oncol. 2020;21:1630–1642. doi:10.1016/S1470-2045(20)30525-8